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    <meta charset="UTF-8">
    <title>Title</title>
    <style type="text/css">

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<style type="text/css">

    /*通过控制td的padding控制tr的padding*/
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        font-size: 25px;
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    .my-body tbody tr td {
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        border-collapse: collapse;
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        border: none;
        text-align: center;
        table-layout: fixed;
        word-break: break-all;
        font-size: 10px;
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</style>
<div style="width:750px; margin: 0 auto;">
    <div class="top-head">亳州市居民基本医疗保险费用结算单</div>
    <div>
        <table class="my-head" width="750" height="50" cellspacing="0" cellpadding="0" border="0">
            <tr>
                <td>结算ID: 341601113487173</td>
                <td>结算日期: 2022-01-11</td>
                <td>医疗类别: 普通门诊</td>
            </tr>
            <tr>
                <td>医院编号: H34160200135</td>
                <td>医院机构名称: 亳州市谯城区十九里镇卫生院</td>
            </tr>
        </table>
    </div>
    <div>
        <table class="my-body" width="750" cellspacing="0" cellpadding="0" border="0">
            <tr>
                <td colspan="4">姓名</td>
                <td colspan="4">倪成海</td>
                <td colspan="4">性别</td>
                <td colspan="4">男</td>
                <td colspan="4">个人编号</td>
                <td colspan="4">34160000000014070</td>
                <td colspan="4">人员类别</td>
                <td colspan="4">居民（成年）</td>
            </tr>
            <tr>
                <td colspan="8">身份证号</td>
                <td colspan="8">341281195804014995</td>
                <td colspan="8">险种类型</td>
                <td colspan="8">城乡居民基本医疗保险</td>
            </tr>
            <tr>
                <td colspan="4">入院日期</td>
                <td colspan="4">2022-01-11</td>
                <td colspan="4">出院日期</td>
                <td colspan="4">2022-01-11</td>
                <td colspan="4">治疗方式编码</td>
                <td colspan="4"></td>
                <td colspan="4">治疗方式名称</td>
                <td colspan="4"></td>
            </tr>
            <tr>
                <td colspan="8">出院诊断编码</td>
                <td colspan="8">101811</td>
                <td colspan="8">出院诊断名称</td>
                <td colspan="8">腰椎间盘突出</td>
            </tr>
            <tr>
                <td colspan="8">医疗费用发生额</td>
                <td colspan="8">全额统筹(含部分统筹)</td>
                <td colspan="8">部分自付</td>
                <td colspan="8">全额自费</td>
            </tr>
            <tr>
                <td colspan="8">54</td>
                <td colspan="8">32.65</td>
                <td colspan="8">0</td>
                <td colspan="8">11</td>
            </tr>
            <tr>
                <td colspan="8">实际支付起付线</td>
                <td colspan="8">0</td>
                <td colspan="8">基本医疗保险统筹基金支出</td>
                <td colspan="8">32.65</td>
            </tr>
            <tr>
                <td colspan="8">公务员医疗补助基金支出</td>
                <td colspan="8">0</td>
                <td colspan="8">职工大额医疗费用补助基金支出</td>
                <td colspan="8">0</td>
            </tr>
            <tr>
                <td colspan="8">居民大病保险基金支出</td>
                <td colspan="8">0</td>
                <td colspan="8">医疗救助基金支出</td>
                <td colspan="8">0</td>
            </tr>
            <tr>
                <td colspan="8">其他基金支出</td>
                <td colspan="8">0</td>
                <td colspan="8">基金支付总额</td>
                <td colspan="8">32.65</td>
            </tr>
            <tr>
                <td colspan="8">个人账户支出</td>
                <td colspan="8">0</td>
                <td colspan="8">个人现金支出</td>
                <td colspan="8">21.35</td>
            </tr>
            <tr>
                <td colspan="8">余额</td>
                <td colspan="8">0</td>
                <td colspan="8">个人负担总金额</td>
                <td colspan="8">21.35</td>
            </tr>
            <tr>
                <td colspan="4">序号</td>
                <td colspan="7">基金支付类型名称</td>
                <td colspan="7">基金支付金额</td>
                <td colspan="7">本次可支付限额金额</td>
                <td colspan="7">符合政策范围金额</td>
            </tr>
            <tr>
                <td colspan="4">1</td>
                <td colspan="7">城乡居民基本医疗保险基金</td>
                <td colspan="7">32.65</td>
                <td colspan="7"></td>
                <td colspan="7">43</td>
            </tr>
        </table>
    </div>
    <div>
        <table class="my-foot" width="750" height="50" cellspacing="0" cellpadding="0" border="0">
            <tr>
                <td>制表人：</td>
                <td></td>
                <td>打印日期：2022-01-11</td>
                <td></td>
                <td>医院(盖章)：</td>
                <td></td>
                <td>患者签名：</td>
                <td></td>
            </tr>
        </table>
    </div>
</div>
<div style="width:750px; margin: 0 auto;">
    <div class="top-head">亳州市居民基本医疗保险费用结算单</div>
    <div>
        <table class="my-head" width="750" height="50" cellspacing="0" cellpadding="0" border="0">
            <tr>
                <td>结算ID: 341601113487173</td>
                <td>结算日期: 2022-01-11</td>
                <td>医疗类别: 普通门诊</td>
            </tr>
            <tr>
                <td>医院编号: H34160200135</td>
                <td>医院机构名称: 亳州市谯城区十九里镇卫生院</td>
            </tr>
        </table>
    </div>
    <div>
        <table class="my-body" width="750" cellspacing="0" cellpadding="0" border="0">
            <tr>
                <td colspan="4">姓名</td>
                <td colspan="4">倪成海</td>
                <td colspan="4">性别</td>
                <td colspan="4">男</td>
                <td colspan="4">个人编号</td>
                <td colspan="4">34160000000014070</td>
                <td colspan="4">人员类别</td>
                <td colspan="4">居民（成年）</td>
            </tr>
            <tr>
                <td colspan="8">身份证号</td>
                <td colspan="8">341281195804014995</td>
                <td colspan="8">险种类型</td>
                <td colspan="8">城乡居民基本医疗保险</td>
            </tr>
            <tr>
                <td colspan="4">入院日期</td>
                <td colspan="4">2022-01-11</td>
                <td colspan="4">出院日期</td>
                <td colspan="4">2022-01-11</td>
                <td colspan="4">治疗方式编码</td>
                <td colspan="4"></td>
                <td colspan="4">治疗方式名称</td>
                <td colspan="4"></td>
            </tr>
            <tr>
                <td colspan="8">出院诊断编码</td>
                <td colspan="8">101811</td>
                <td colspan="8">出院诊断名称</td>
                <td colspan="8">腰椎间盘突出</td>
            </tr>
            <tr>
                <td colspan="8">医疗费用发生额</td>
                <td colspan="8">全额统筹(含部分统筹)</td>
                <td colspan="8">部分自付</td>
                <td colspan="8">全额自费</td>
            </tr>
            <tr>
                <td colspan="8">54</td>
                <td colspan="8">32.65</td>
                <td colspan="8">0</td>
                <td colspan="8">11</td>
            </tr>
            <tr>
                <td colspan="8">实际支付起付线</td>
                <td colspan="8">0</td>
                <td colspan="8">基本医疗保险统筹基金支出</td>
                <td colspan="8">32.65</td>
            </tr>
            <tr>
                <td colspan="8">公务员医疗补助基金支出</td>
                <td colspan="8">0</td>
                <td colspan="8">职工大额医疗费用补助基金支出</td>
                <td colspan="8">0</td>
            </tr>
            <tr>
                <td colspan="8">居民大病保险基金支出</td>
                <td colspan="8">0</td>
                <td colspan="8">医疗救助基金支出</td>
                <td colspan="8">0</td>
            </tr>
            <tr>
                <td colspan="8">其他基金支出</td>
                <td colspan="8">0</td>
                <td colspan="8">基金支付总额</td>
                <td colspan="8">32.65</td>
            </tr>
            <tr>
                <td colspan="8">个人账户支出</td>
                <td colspan="8">0</td>
                <td colspan="8">个人现金支出</td>
                <td colspan="8">21.35</td>
            </tr>
            <tr>
                <td colspan="8">余额</td>
                <td colspan="8">0</td>
                <td colspan="8">个人负担总金额</td>
                <td colspan="8">21.35</td>
            </tr>
            <tr>
                <td colspan="4">序号</td>
                <td colspan="7">基金支付类型名称</td>
                <td colspan="7">基金支付金额</td>
                <td colspan="7">本次可支付限额金额</td>
                <td colspan="7">符合政策范围金额</td>
            </tr>
            <tr>
                <td colspan="4">1</td>
                <td colspan="7">城乡居民基本医疗保险基金</td>
                <td colspan="7">32.65</td>
                <td colspan="7"></td>
                <td colspan="7">43</td>
            </tr>
        </table>
    </div>
    <div>
        <table class="my-foot" width="750" height="50" cellspacing="0" cellpadding="0" border="0">
            <tr>
                <td>制表人：</td>
                <td></td>
                <td>打印日期：2022-01-11</td>
                <td></td>
                <td>医院(盖章)：</td>
                <td></td>
            </tr>
        </table>
    </div>
</div>
<div style="width:750px; margin: 0 auto;">
    <div class="top-head">亳州市居民基本医疗保险费用结算单</div>
    <div>
        <table class="my-head" width="750" height="50" cellspacing="0" cellpadding="0" border="0">
            <tr>
                <td>结算ID: 341601113487173</td>
                <td>结算日期: 2022-01-11</td>
                <td>医疗类别: 普通门诊</td>
            </tr>
            <tr>
                <td>医院编号: H34160200135</td>
                <td>医院机构名称: 亳州市谯城区十九里镇卫生院</td>
            </tr>
        </table>
    </div>
    <div>
        <table class="my-body" width="750" cellspacing="0" cellpadding="0" border="0">
            <tr>
                <td colspan="4">姓名</td>
                <td colspan="4">倪成海</td>
                <td colspan="4">性别</td>
                <td colspan="4">男</td>
                <td colspan="3">个人编号</td>
                <td colspan="5">34160000000014070</td>
                <td colspan="4">人员类别</td>
                <td colspan="4">居民（成年）</td>
            </tr>
            <tr>
                <td colspan="8">身份证号</td>
                <td colspan="8">341281195804014995</td>
                <td colspan="8">险种类型</td>
                <td colspan="8">城乡居民基本医疗保险</td>
            </tr>
            <tr>
                <td colspan="4">入院日期</td>
                <td colspan="4">2022-01-11</td>
                <td colspan="4">出院日期</td>
                <td colspan="4">2022-01-11</td>
                <td colspan="4">治疗方式编码</td>
                <td colspan="4"></td>
                <td colspan="4">治疗方式名称</td>
                <td colspan="4"></td>
            </tr>
            <tr>
                <td colspan="8">出院诊断编码</td>
                <td colspan="8">101811</td>
                <td colspan="8">出院诊断名称</td>
                <td colspan="8">腰椎间盘突出</td>
            </tr>
            <tr>
                <td colspan="8">医疗费用发生额</td>
                <td colspan="8">全额统筹(含部分统筹)</td>
                <td colspan="8">部分自付</td>
                <td colspan="8">全额自费</td>
            </tr>
            <tr>
                <td colspan="8">54</td>
                <td colspan="8">32.65</td>
                <td colspan="8">0</td>
                <td colspan="8">11</td>
            </tr>
            <tr>
                <td colspan="8">实际支付起付线</td>
                <td colspan="8">0</td>
                <td colspan="8">基本医疗保险统筹基金支出</td>
                <td colspan="8">32.65</td>
            </tr>
            <tr>
                <td colspan="8">公务员医疗补助基金支出</td>
                <td colspan="8">0</td>
                <td colspan="8">职工大额医疗费用补助基金支出</td>
                <td colspan="8">0</td>
            </tr>
            <tr>
                <td colspan="8">居民大病保险基金支出</td>
                <td colspan="8">0</td>
                <td colspan="8">医疗救助基金支出</td>
                <td colspan="8">0</td>
            </tr>
            <tr>
                <td colspan="8">其他基金支出</td>
                <td colspan="8">0</td>
                <td colspan="8">基金支付总额</td>
                <td colspan="8">32.65</td>
            </tr>
            <tr>
                <td colspan="8">个人账户支出</td>
                <td colspan="8">0</td>
                <td colspan="8">个人现金支出</td>
                <td colspan="8">21.35</td>
            </tr>
            <tr>
                <td colspan="8">余额</td>
                <td colspan="8">0</td>
                <td colspan="8">个人负担总金额</td>
                <td colspan="8">21.35</td>
            </tr>
            <tr>
                <td colspan="4">序号</td>
                <td colspan="7">基金支付类型名称</td>
                <td colspan="7">基金支付金额</td>
                <td colspan="7">本次可支付限额金额</td>
                <td colspan="7">符合政策范围金额</td>
            </tr>
            <tr>
                <td colspan="4">1</td>
                <td colspan="7">城乡居民基本医疗保险基金</td>
                <td colspan="7">32.65</td>
                <td colspan="7"></td>
                <td colspan="7">43</td>
            </tr>
        </table>
    </div>
    <div>
        <table class="my-foot" width="750" height="50" cellspacing="0" cellpadding="0" border="0">
            <tr>
                <td>制表人：</td>
                <td></td>
                <td>打印日期：2022-01-11</td>
                <td></td>
                <td>医院(盖章)：</td>
                <td></td>
            </tr>
        </table>
    </div>
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    <div>
        <table class="my-head" width="750" height="30" cellspacing="0" cellpadding="0" border="0">
            <tr>
                <td>结算ID: 341601113487173</td>
                <td>结算日期: 2022-01-11</td>
                <td>医疗类别: 普通门诊</td>
            </tr>
            <tr>
                <td>医院编号: H34160200135</td>
                <td>医院机构名称: 亳州市谯城区十九里镇卫生院</td>
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                <td colspan="4">性别</td>
                <td colspan="4">男</td>
                <td colspan="3">个人编号</td>
                <td colspan="5">34160000000014070</td>
                <td colspan="4">人员类别</td>
                <td colspan="4">居民（成年）</td>
            </tr>
            <tr>
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                <td colspan="8">341281195804014995</td>
                <td colspan="8">险种类型</td>
                <td colspan="8">城乡居民基本医疗保险</td>
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            <tr>
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                <td colspan="4">2022-01-11</td>
                <td colspan="4">出院日期</td>
                <td colspan="4">2022-01-11</td>
                <td colspan="4">治疗方式编码</td>
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                <td colspan="4">治疗方式名称</td>
                <td colspan="4"></td>
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            <tr>
                <td colspan="8">出院诊断编码</td>
                <td colspan="8">101811</td>
                <td colspan="8">出院诊断名称</td>
                <td colspan="8">腰椎间盘突出</td>
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            <tr>
                <td colspan="8">医疗费用发生额</td>
                <td colspan="8">全额统筹(含部分统筹)</td>
                <td colspan="8">部分自付</td>
                <td colspan="8">全额自费</td>
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            <tr>
                <td colspan="8">54</td>
                <td colspan="8">32.65</td>
                <td colspan="8">0</td>
                <td colspan="8">11</td>
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            <tr>
                <td colspan="8">实际支付起付线</td>
                <td colspan="8">0</td>
                <td colspan="8">基本医疗保险统筹基金支出</td>
                <td colspan="8">32.65</td>
            </tr>
            <tr>
                <td colspan="8">公务员医疗补助基金支出</td>
                <td colspan="8">0</td>
                <td colspan="8">职工大额医疗费用补助基金支出</td>
                <td colspan="8">0</td>
            </tr>
            <tr>
                <td colspan="8">居民大病保险基金支出</td>
                <td colspan="8">0</td>
                <td colspan="8">医疗救助基金支出</td>
                <td colspan="8">0</td>
            </tr>
            <tr>
                <td colspan="8">其他基金支出</td>
                <td colspan="8">0</td>
                <td colspan="8">基金支付总额</td>
                <td colspan="8">32.65</td>
            </tr>
            <tr>
                <td colspan="8">个人账户支出</td>
                <td colspan="8">0</td>
                <td colspan="8">个人现金支出</td>
                <td colspan="8">21.35</td>
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            <tr>
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                <td colspan="8">0</td>
                <td colspan="8">个人负担总金额</td>
                <td colspan="8">21.35</td>
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            <tr>
                <td colspan="4">序号</td>
                <td colspan="7">基金支付类型名称</td>
                <td colspan="7">基金支付金额</td>
                <td colspan="7">本次可支付限额金额</td>
                <td colspan="7">符合政策范围金额</td>
            </tr>
            <tr>
                <td colspan="4">1</td>
                <td colspan="7">城乡居民基本医疗保险基金</td>
                <td colspan="7">32.65</td>
                <td colspan="7"></td>
                <td colspan="7">43</td>
            </tr>
        </table>
    </div>
    <div>
        <table class="my-foot" width="750" height="50" cellspacing="0" cellpadding="0" border="0">
            <tr>
                <td>制表人：</td>
                <td></td>
                <td>打印日期：</td>
                <td>2022-01-11</td>
                <td>医院(盖章)：</td>
                <td></td>
                <td>患者签名：</td>
                <td></td>
            </tr>
        </table>
    </div>
</div>
<div style="width:750px; margin: 0 auto;">
    <div class="top-head">亳州市居民基本医疗保险费用结算单</div>
    <div>
        <table class="my-head" width="750" height="50" cellspacing="0" cellpadding="0" border="0">
            <tr>
                <td>结算ID: 341601113487173</td>
                <td>结算日期: 2022-01-11</td>
                <td>医疗类别: 普通门诊</td>
            </tr>
            <tr>
                <td>医院编号: H34160200135</td>
                <td>医院机构名称: 亳州市谯城区十九里镇卫生院</td>
            </tr>
        </table>
    </div>
    <div>
        <table class="my-body" width="750" cellspacing="0" cellpadding="0" border="0">
            <tr>
                <td colspan="4">姓名</td>
                <td colspan="4">倪成海</td>
                <td colspan="4">性别</td>
                <td colspan="4">男</td>
                <td colspan="3">个人编号</td>
                <td colspan="5">34160000000014070</td>
                <td colspan="4">人员类别</td>
                <td colspan="4">居民（成年）</td>
            </tr>
            <tr>
                <td colspan="8">身份证号</td>
                <td colspan="8">341281195804014995</td>
                <td colspan="8">险种类型</td>
                <td colspan="8">城乡居民基本医疗保险</td>
            </tr>
            <tr>
                <td colspan="4">入院日期</td>
                <td colspan="4">2022-01-11</td>
                <td colspan="4">出院日期</td>
                <td colspan="4">2022-01-11</td>
                <td colspan="4">治疗方式编码</td>
                <td colspan="4"></td>
                <td colspan="4">治疗方式名称</td>
                <td colspan="4"></td>
            </tr>
            <tr>
                <td colspan="8">出院诊断编码</td>
                <td colspan="8">101811</td>
                <td colspan="8">出院诊断名称</td>
                <td colspan="8">腰椎间盘突出</td>
            </tr>
            <tr>
                <td colspan="8">医疗费用发生额</td>
                <td colspan="8">全额统筹(含部分统筹)</td>
                <td colspan="8">部分自付</td>
                <td colspan="8">全额自费</td>
            </tr>
            <tr>
                <td colspan="8">54</td>
                <td colspan="8">32.65</td>
                <td colspan="8">0</td>
                <td colspan="8">11</td>
            </tr>
            <tr>
                <td colspan="8">实际支付起付线</td>
                <td colspan="8">0</td>
                <td colspan="8">基本医疗保险统筹基金支出</td>
                <td colspan="8">32.65</td>
            </tr>
            <tr>
                <td colspan="8">公务员医疗补助基金支出</td>
                <td colspan="8">0</td>
                <td colspan="8">职工大额医疗费用补助基金支出</td>
                <td colspan="8">0</td>
            </tr>
            <tr>
                <td colspan="8">居民大病保险基金支出</td>
                <td colspan="8">0</td>
                <td colspan="8">医疗救助基金支出</td>
                <td colspan="8">0</td>
            </tr>
            <tr>
                <td colspan="8">其他基金支出</td>
                <td colspan="8">0</td>
                <td colspan="8">基金支付总额</td>
                <td colspan="8">32.65</td>
            </tr>
            <tr>
                <td colspan="8">个人账户支出</td>
                <td colspan="8">0</td>
                <td colspan="8">个人现金支出</td>
                <td colspan="8">21.35</td>
            </tr>
            <tr>
                <td colspan="8">余额</td>
                <td colspan="8">0</td>
                <td colspan="8">个人负担总金额</td>
                <td colspan="8">21.35</td>
            </tr>
            <tr>
                <td colspan="4">序号</td>
                <td colspan="7">基金支付类型名称</td>
                <td colspan="7">基金支付金额</td>
                <td colspan="7">本次可支付限额金额</td>
                <td colspan="7">符合政策范围金额</td>
            </tr>
            <tr>
                <td colspan="4">1</td>
                <td colspan="7">城乡居民基本医疗保险基金</td>
                <td colspan="7">32.65</td>
                <td colspan="7"></td>
                <td colspan="7">43</td>
            </tr>
        </table>
    </div>
    <div>
        <table class="my-foot" width="750" height="50" cellspacing="0" cellpadding="0" border="0">
            <tr>
                <td>制表人：</td>
                <td></td>
                <td>打印日期：</td>
                <td>2022-01-11</td>
                <td>医院(盖章)：</td>
                <td></td>
                <td>患者签名：</td>
                <td></td>
            </tr>
        </table>
    </div>
</div>
<div style="width:750px; margin: 0 auto;">
    <div class="top-head">亳州市居民基本医疗保险费用结算单</div>
    <div>
        <table class="my-head" width="750" height="50" cellspacing="0" cellpadding="0" border="0">
            <tr>
                <td>结算ID: 341601113487173</td>
                <td>结算日期: 2022-01-11</td>
                <td>医疗类别: 普通门诊</td>
            </tr>
            <tr>
                <td>医院编号: H34160200135</td>
                <td>医院机构名称: 亳州市谯城区十九里镇卫生院</td>
            </tr>
        </table>
    </div>
    <div>
        <table class="my-body" width="750" cellspacing="0" cellpadding="0" border="0">
            <tr>
                <td colspan="4">姓名</td>
                <td colspan="4">倪成海</td>
                <td colspan="4">性别</td>
                <td colspan="4">男</td>
                <td colspan="3">个人编号</td>
                <td colspan="5">34160000000014070</td>
                <td colspan="4">人员类别</td>
                <td colspan="4">居民（成年）</td>
            </tr>
            <tr>
                <td colspan="8">身份证号</td>
                <td colspan="8">341281195804014995</td>
                <td colspan="8">险种类型</td>
                <td colspan="8">城乡居民基本医疗保险</td>
            </tr>
            <tr>
                <td colspan="4">入院日期</td>
                <td colspan="4">2022-01-11</td>
                <td colspan="4">出院日期</td>
                <td colspan="4">2022-01-11</td>
                <td colspan="4">治疗方式编码</td>
                <td colspan="4"></td>
                <td colspan="4">治疗方式名称</td>
                <td colspan="4"></td>
            </tr>
            <tr>
                <td colspan="8">出院诊断编码</td>
                <td colspan="8">101811</td>
                <td colspan="8">出院诊断名称</td>
                <td colspan="8">腰椎间盘突出</td>
            </tr>
            <tr>
                <td colspan="8">医疗费用发生额</td>
                <td colspan="8">全额统筹(含部分统筹)</td>
                <td colspan="8">部分自付</td>
                <td colspan="8">全额自费</td>
            </tr>
            <tr>
                <td colspan="8">54</td>
                <td colspan="8">32.65</td>
                <td colspan="8">0</td>
                <td colspan="8">11</td>
            </tr>
            <tr>
                <td colspan="8">实际支付起付线</td>
                <td colspan="8">0</td>
                <td colspan="8">基本医疗保险统筹基金支出</td>
                <td colspan="8">32.65</td>
            </tr>
            <tr>
                <td colspan="8">公务员医疗补助基金支出</td>
                <td colspan="8">0</td>
                <td colspan="8">职工大额医疗费用补助基金支出</td>
                <td colspan="8">0</td>
            </tr>
            <tr>
                <td colspan="8">居民大病保险基金支出</td>
                <td colspan="8">0</td>
                <td colspan="8">医疗救助基金支出</td>
                <td colspan="8">0</td>
            </tr>
            <tr>
                <td colspan="8">其他基金支出</td>
                <td colspan="8">0</td>
                <td colspan="8">基金支付总额</td>
                <td colspan="8">32.65</td>
            </tr>
            <tr>
                <td colspan="8">个人账户支出</td>
                <td colspan="8">0</td>
                <td colspan="8">个人现金支出</td>
                <td colspan="8">21.35</td>
            </tr>
            <tr>
                <td colspan="8">余额</td>
                <td colspan="8">0</td>
                <td colspan="8">个人负担总金额</td>
                <td colspan="8">21.35</td>
            </tr>
            <tr>
                <td colspan="4">序号</td>
                <td colspan="7">基金支付类型名称</td>
                <td colspan="7">基金支付金额</td>
                <td colspan="7">本次可支付限额金额</td>
                <td colspan="7">符合政策范围金额</td>
            </tr>
            <tr>
                <td colspan="4">1</td>
                <td colspan="7">城乡居民基本医疗保险基金</td>
                <td colspan="7">32.65</td>
                <td colspan="7"></td>
                <td colspan="7">43</td>
            </tr>
        </table>
    </div>
    <div>
        <table class="my-foot" width="750" height="50" cellspacing="0" cellpadding="0" border="0">
            <tr>
                <td>制表人：</td>
                <td></td>
                <td>打印日期：</td>
                <td>2022-01-11</td>
                <td>医院(盖章)：</td>
                <td></td>
                <td>患者签名：</td>
                <td></td>
            </tr>
        </table>
    </div>
</div>
    `;

    function print() {
        LODOP = getLodop();
        LODOP.PRINT_INIT("打印控件功能演示_Lodop功能_预览打印表格");
        LODOP.SET_PRINT_PAGESIZE(0, 0, 0, "CCC");
        // lodop打印html代码, 打印内容前面必不可少"<!DOCTYPE html>", 否则会打印出来的样式和浏览器中的样式不一致;
        // 宽度控制有效, 高度控制效果不明显
        LODOP.ADD_PRINT_HTM(0, 0, "214mm", "285mm", "<!DOCTYPE html>" + str);
        LODOP.SET_PRINT_MODE("POS_BASEON_PAPER", true);
        LODOP.PREVIEW();
    }

</script>
</body>
</html>